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Maine rates for HCPCS 73501

Radiologic examination, hip, unilateral, with pelvis when performed; 1 view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $12.59 / $12.59
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$34.67 / $95.50 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.02 / $63.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.00 / $21.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $23.99 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $11.75 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $30.20 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $12.30 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $29.51 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $13.80 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $37.15 / $74.13
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $12.59 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$34.67 / $95.50 / $100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.75 / $22.39
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $29.51 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $81.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $30.90 / $54.95